| Wellspring Health LLC | |
|
16836 Jamaica Ave Jamaica NY 11432-5216 | |
| (929) 277-1838 | |
| (855) 492-1615 |
| Full Name | Wellspring Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 16836 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Betsy Varghese (MD) |
| Authorized Official Contact | 7189023440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Health LLC 7441 260th St Apt 2 Glen Oaks NY 11004-1124 Ph: (718) 902-3440 | Wellspring Health LLC 16836 Jamaica Ave Jamaica NY 11432-5216 Ph: (929) 277-1838 |
| NPI Number | 1578149845 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578149845 | NPI | - | NPPES |
| 03426840 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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